MEDICARE: DR. EVE DELUNAS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC14571	CA

General Provider Information

NPI Number	:	1023438280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVE DELUNAS PH.D.

Provider Business Mailing Address
First Line	:	1380 MOANALUALANI PL APT B
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-1238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 MOANALUALANI PL APT B
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-1238
Country	:	US
Telephone Number	:	808-462-0331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2014
Last Update Date	:	04/25/2014

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